The prevalence of urinary incontinence, sexual dysfunction and quality of life in women of reproductive age admitted to urogynecology departments
[ N/A ]
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Acta Medica Mediterranea
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: Urinary incontinence (UI) is fairly common among women and reduces common emotional and psychological well-being and also a phenomenon that weakens sexual life. At the same time, social activities and relationships; family life, his relationship with his wife is adversely affected. In this study of prevalence of UI and the sexual dysfunction(SD) and quality of life were examined in women of reproductive age who admitted family medicine, obstetrics, urology clinics with various symptoms (frequent urination, urinary burning, pelvic pain, urinary incontinence, vaginal discharge and similar complaints). Materials and methods: The study included a total of 665 female patients of 15-49 years of age admitted to Family Medicine, Obstetrics and Gynecology, and Urology polyclinics in Mustafa Kemal University Faculty of Medicine, Training and Research Hospital during October 2013-January 2014 with various complaints. General survey form, ICIQ-SF (International Consultation on Incontinence Short Form), FSFI (Female Sexual Function Index) form, and EORTC QLQ-C30 (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30) version 3.0 were applied to these patients. The general survey form addressed demographic characteristics, risk factor for urinary incontinence, concomitant diseases, anamnesis including medical history and family history. The data obtained in the study were assessed for statistical significance by using Student's t-test, Mann Whitney U test, Chi-square test and Fisher's Exact Chi-square test. Results: The sociodemographic characteristics of the women were; mean age was 31.85±9.495 (SD) and mean body mass index (BMI) value was 26.39±4.03. Obstetric history was as follows; number of normal vaginal births was 317 (47,66%);number of caesarean sections 471 (70.8%); number of deliveries of infant over 4 kg of birth weight 138 (20.8%) and number of multiple gestations resulting in live birth was 60 (9%). 235(35.3%) women had previous history of surgery to pelvic floor and 203 (30,5%) of had previous history of abdominal surgery (except cesarean section). Frequency of UI was 42,7%(284 women). Situation that provokes UI; mixed type at 95 (14.3%) women, stress type at 133 (20%) women, urge type at 56 (8.4%) women. The effect on daily life was scored(those who report an effect of 8 on a scale to 10 was 159 (23.9%) of). There was chronic disease at 175(26,4%) of them, disc herniation at 36 (5.4%) of, involuntary defecation at74 (11.1%)of, involuntary flatulence at 191 (28.7%) of, haemorrhoids at 405 (60.9%)of, urinary tract infection at 244 (36,7%), vaginitis 1-2 times a year at 352 (52.9%) women. Sexual dysfunction (FSFI according to survey results); 215 (32.3%) women have not heard of sexual desire in the past month. Self-confidence about being sexually driven present at only in 222 (33.4%) women. 307 (46.2%) women dont feel wetness during sexual intercourse. 136(20.5%) women say sexual intercourse is not satisfactory. 57.9% of all cases not satisfied with your sexual life. Painful intercourse at 74 (11.1%) women. Conclusion: Urinary incontinence in female population is quite a common health problem. A large majority of women perceive it as a result of aging and female gender and do not seek medical assistance.It is important to detect this problem and relevant risk factor among patients who admit to polyclinics. This approach would improve the treatment of this condition which affects quality of life and sexuality.
Açıklama
Anahtar Kelimeler
Sexual dysfunction, Urinary incontinence, Woman
Kaynak
Acta Medica Mediterranea
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
30
Sayı
5
